Field Reimbursement Specialist

4 days ago


New York, New York, United States Syneos Health Inc Full time

Job Summary

The Field Reimbursement Specialist will be responsible for managing defined accounts in a specified geographic region in the ophthalmic therapeutic area, supporting our client's products. This role involves executing a collaborative territory strategic plan through partnership with internal and external stakeholders, including call center services, sales, market access, and other collaboration partners. The ideal candidate will have a strong understanding of the reimbursement process, field reimbursement services, and patient support programs.

Key Responsibilities

• Act as an extension of the product, providing live one-on-one coverage support to patients and healthcare professionals.
• Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.
• Review patient-specific information to resolve issues or coverage challenges in provider offices.
• Review patient insurance benefit options and identify alternate funding/financial assistance programs.

Requirements

• Minimum two years of experience in access and reimbursement, managed care, and/or billing and coding support.
• Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required.
• Ophthalmic, retina specialists, and biosimilar experience preferred.
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus.

What We Offer

• Competitive compensation package, including a base salary range of $135,000 to $145,000.
• Health benefits, including Medical, Dental, and Vision, Company match 401k, flexible paid time off (PTO), and sick time.
• Opportunities for career growth and development in a dynamic and global organization.



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